How to treat and prevent fungal nail infections

How to treat and prevent fungal nail infections

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How to treat and prevent fungal nail infections - 1

How to treat and prevent fungal nail infections

Fungal nail infection (also called onychomycosis) is responsible for approximately 50% of all nail disease and in western countries it appears to be on the rise* due to our ageing populations and lifestyle changes.

If you suspect you have a fungal nail infection there are many treatments available—although success rates vary greatly.

Treating fungal nail

“Typically fungal nail infection won’t go away without treatment; this can include over-the-counter topical antifungal creams and ointments, prescribed oral antifungal pills, laser treatment, or, in severe cases, surgical nail removal,” says Dr Brenden, principle podiatrist and owner at A Step Ahead Foot + Ankle Care.

“The biggest problem with topical antifungal agents is that they’re often ineffective, while oral terbinafine—despite being considered a ‘first-line’ treatment—requires strict adherence for 12 weeks.”

In recent years laser technology has emerged as an effective method of treating fungal nail infections. Performed by your local podiatrist, laser allows light to pass through the nail into the nail bed, effectively treating the infection at its source.

The heat from the laser kills both fungi and spores. Providing every nail is treated (which is what we recommend), the likelihood of success is high.

Preventing fungal nail from striking

“Fungal nail infection is much like a tummy bug; it can be passed on to others you come into contact with, particularly family members. As such, it really does pay to know how to protect against fungal infection,” says Dr Brenden (A.k.a Dr Foot)

The following steps can help keep your feet and nails fungus free:

  • Avoid public showers. If you must use a community shower—wear thongs
  • Boil your socks. Fungi thrive in warm, moist environment (Hello sports socks!) but they can’t survive extremely high temperatures. Boil your socks regularly, for at least 10 minutes, to kill off any hidden fungi spores.
  • Keep feet clean and dry. In between sweaty toes is the ideal habitat for infuriating fungi. Stop fungal infection for striking by keeping feet clean and dry. If you’re prone to sweaty feet, try an antifungal foot powder, spray the soles of your feet with antiperspirant and don’t forget to change your socks daily.
  • Don’t share nail clippers. Sharing is caring but not when it comes to fungal nail infection. Be vigilant at the nail salon; ensure the nail tools they use have been sterilised.

Next steps…

We treat several people a day for fungal nail infections. If we can help you please let us know! You can contact us through our helpful front desk team. They speak to multiple patients a day with this condition. They can run you through our process and costings and reserve an appointment time that suits you best. Our number is +61 2 9673 2987 we would LOVE to help.

Medical clinics + other podiatry clinics

If you are one of the many Podiatry / Medical clinics that follow my posts please read the details in my clinic websites, I am currently developing a course for practitioners interested in learning more effective and efficient ways of treating nail fungus. If you follow our posts we will announce this as it occurs or simply send us a message and our office will save your details. We look forward to helping you as well! Our number is 02 9673 2987. Hope to chat soon.

Want to know more about fungal nail infection?

Check out fungalnaildoctor.com.au

See what Dr Brenden has to say on the topic of fungal nails and laser therapy via his Facebook Live session

Clue up on our top 5 tips for fungus-free feet

Discover how Tanya beat fungal nail infection

* Thomas J, et al. Toenail onychomycosis: an important global disease burden. J Clin Pharm Ther 2010;35(5):497-519.
Kids’ feet: Choosing the right back-to-school shoes

Kids’ feet: Choosing the right back-to-school shoes

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Children spend at least 30 hours a week stomping around in their school shoes. This means that choosing the right shoe is really important for the health and comfort of your child’s feet.

“Ill-fitting school shoes can lead to a multitude of foot problems in adulthood, such as ingrown toenails, corns, callus, bunions and hammer toes. There’s also evidence to suggest that poorly fitting shoes can cause back pain,” says podiatrist and founder of A Step Ahead Foot + Ankle Care, Dr Brenden.

No parent wants to put their child through undue foot pain or cause feet issues in later life. By understanding how to select the right shoes for children and following the guidance of a podiatrist, parents can help ensure they’re a step ahead when it comes to picking out the best back-to-school shoes.

With Dr Brenden’s top tips, choosing the right back-to-school shoes for your child should be as easy as…well…A,B,C!

Kids’ feet: Choosing the right back-to-school shoes - 2

Get the best fit. It can be tempting to buy a size bigger, given how fast children’s feet grow, but the key is to allow a maximum of one thumb width between the top of the longest toe and the end of the shoe.

Heel support. Squeeze the back of the shoe to make sure the heel counter is strong and stable. This way you know you’re getting good heel support. The heel of the shoe should also be no higher than 1.5 cms.

Fasten up. Check that the fastening mechanism (laces, Velcro or buckle) holds the heel firmly in the back of the shoe. Slip-on shoes are not recommended for school wear.

Sole survivor. The soles of shoes should be fairly straight, rather than curved, as this accommodates the straightness of the foot. Also, if you attempt to ‘wring out’ the shoe by holding one hand at the heel and the other in the middle, it should not twist.

Flexibility. A flexible shoe allows for the natural movement of the foot but make sure that the shoe flexes at the ball of the foot; the shoe should NEVER bend in the middle.

A higher price tag doesn’t always mean a better shoe. Well-known brands, such as Clarks, do tend to outlast some of the cheaper brands but this is because they are well made using quality materials. Check to see that the shoe you’re considering buying is made from a high-quality, durable material.

Forget foot weights. You might be fooled into thinking that a heavy shoe is a sign of good quality. Yet a shoe that is particularly heavy is probably not going to be the most comfortable choice. A shoe should weigh no more than approximately 250 grams. That’s less than a can of soup!

Hand-me-down shoes are a no-no. Aside from the risk of fungal or bacterial infection, pre-worn shoes are likely to have molded to the shape of the previous owner’s feet. It’s also probable that the tread and heel counter have worn down, offering less support and poorer stability for your child’s feet.

Listen to your child. If your child complains of foot pain or discomfort or you notice they are walking differently, take a trip to your local podiatrist to have their feet checked.

“Parents commonly ask how long school shoes should last. Of course, this will depend on the quality of the shoe but on average they should last nine months to a year.

“However, if you notice your child has a growth spurt—check to see if their feet have outgrown their shoes. On average, children’s feet grow about half a shoe size every six months,” says Dr Brenden.

Happy shoe shopping!

Want to know more about taking care of kids’ feet? Visit: www.mykidsfootdoctor.com.au

Plus, check out Dr Brenden’s YouTube reviews of some of the latest (2018) school shoes on the market (Includes Ascent Eve Black, ASICS Gel Trigger, New Balance 625 KX, Target Billy Senior—to name just a few!)

Or watch Dr Brenden’s Facebook live video chat on the best school shoes of 2018.